TML-ML18147
Regimen
- Experimental
- Bevacizumab (continued, same dose) + chemotherapy switch (oxaliplatin→irinotecan or vice versa)
- Control
- Chemotherapy switch alone (no bevacizumab continuation)
Population
Metastatic CRC, 2L, after progression on first-line bevacizumab-containing chemotherapy.
Key finding
2L mCRC (post-1L bev+chemo): mOS 11.2 vs 9.8 mo (HR 0.81, 95% CI 0.69-0.94, p=0.0062); mPFS 5.7 vs 4.1 mo (HR 0.68, 95% CI 0.59-0.78, p<0.0001); chemotherapy switch (oxaliplatin↔irinotecan) plus continued bevacizumab at progression
Source: PMID 23168366
Timeline
Guideline citations
- NCCN Colon (p.59)
- NCCN Rectal (p.57)